Chronic Kidney Disease in the Community - Indian Scenario by Dr. Vidya N. Acharya; MD; FAMS; . Secretary - National Kidney Foundation - I Director - Professor; Post Graduate Studies ephrology; Muljibhai Patel Society for Resea in Nephro - Urology and Hospital - Nadiad - South Gujarat - India
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Chronic Kidney Disease in the Community - Indian Scenario by Dr. Vidya N. Acharya; MD; FAMS; Hon. Secretary - National Kidney Foundation - India Director.
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Chronic Kidney Disease in the Community -Indian Scenario
by
Dr. Vidya N. Acharya; MD; FAMS;Hon. Secretary - National Kidney Foundation - India
Director - Professor; Post Graduate Studies inNephrology; Muljibhai Patel Society for Research
in Nephro - Urology and Hospital - Nadiad - South Gujarat - India
India - The Hard Economic Facts.
Population = 1000 million and growing
Per capital Income = Rs.12989/year
One US $ = Rs. 46 - 47
Earning > Rs.50,000 = 2.2% of population
No. of poor = 36% of population
Cost of a renal Tx. = Rs. 2,50,000
June, 2003
June, 2003
Chronic Kidney Disease in India - Hospital Based Data
Comparison of data on C.R.F. from Chennai and ChandigarhCompared [hospital data]
Chronic Kidney Disease Detected in the community:Mumbai 2002
n=3218
CKD=34.7%
Chronic Kidney Disease in the Community Mumbai Data - 2002 [H]
High Risk Group [H] n = 748 Diabetics 122 16% Adults 98.7%
Children 1.3%below 18 yrs.
Non Diabetic 626 84% Hypertensives 210 28% Non. Hypertnvs. 538 72% Combined Diabetics with Hypertensives n = 80/122 = 66%
June, 2003.
Urinary abnormalities in the high risk group - Mumbai 2002 - n = 748
94
87
97
6
13
3
80
85
90
95
100
105
1 2 3
Series2
Series1
Positive
Negative
Proteinuria Hematuria Pyuria
June, 2003
Demographic Data of the High Risk Group -Mumbai 2002 -
Weight distribution [in Kgs.] - n = 748
Entire group 63.6 + 13 (4-110)Diabetic 65.0 + 13 (4-92) Non Diabetic64.2 + 9 (15-110)
Difference in weight not statistically significant
June, 2003
Chronic Kidney Disease: High Risk Group - n = 748
Non-DM 84%
DM16%
Adults 15.7%
Children 0.3%
June, 2003
Chronic Kidney Disease in the Community [H]Mumbai Data - 2002 [contd]
Duration of DiabetesMean in years 4.28 ± 5.18 Range 1 year to 23 yearsDiabetes/AgeMean 52.4 ± 13.5 yrs. Range 2 years - 85 yearsDiabetes and Therapy [OHA and/or Insulin]Not on treatment = 30/122 = 25%On treatment = 92/122 = 75%
June, 2003.
Chronic Kidney Disease in the Community [H] Mumbai Study - Blood Pressure values - n=748
Diabetics/Non Diabetics.
Mean RangeDiabetics Systolic B.P. 132 ± 23mmHg 100 - 180mmHg
Miscellaneous group includes GMN, ADPKD, UTI, UrinaruObstruction, Genitourinary TB, Benign Prostate enlargement
June, 2003
Nephrologists as programme developers for the community* Need shift in perspective and use of different sets of analytical skills.* Evaluation of individual community health needs* Measures to counter renal problems as seen in individual communities.
June, 2003
There is a continuing cry for preventive aspects of nephrological disorders, which demands :